Orizaba Expedition Registration - La Fondation Les Fleurons glorieux

We are actively seeking Veterans and currently serving members of the Canadian Armed Forces from across the country who have sustained an injury or illness as a result of their military service to apply for this adventure. This expedition offers participants an opportunity to receive guidance and assistance during their recovery and transition to civilian life.

General Information

Eligibility: Applicants must be currently serving or former members of the Canadian Armed Forces who have sustained an injury or illness as a result of their military service.

Note: Currently serving applicants are responsible for obtaining permission for personal leave.

Availability: Applicants must be available the following dates (no exceptions. Transportation provided):

Training camp in Whistler, British Columbia: September 27 – 30, 2018
Expedition in Mexico: February 23 – March 3, 2019

Cost: All expenses related to the expedition will be covered by fundraising initiatives led by the expedition participants and the True Patriot Love Foundation.

Fundraising: True Patriot Love requires soldier applicants to participate in fundraising initiatives to the best of their ability.

Medical Requirements: This is a physically demanding experience. Participants must pass advanced fitness testing in order to participate. An individual’s ability to participate is based on their fitness at the time of the expedition. For the safety of all participants, as well as the expedition team, the team doctor has the ability to restrict an individual’s participation on the expedition if they are not physically fit to participate. Applicants must receive medical approval in advance of the expedition training camp and sign a waiver prior to participation. We are dedicated to accommodating physical injuries where it is safe to do so, which will be considered on a case-by-case basis.

Mentorship Program: Military participants will take part in a mentorship program with Canadian business leaders who are also participating in the expedition. This will include a personality assessment and development coaching, intended to assist you in achieving your personal goals.

Media: From time to time, media outlets may request interviews or photos from select participants.

Personal Information

* Required field

First Name *

Last Name *

Middle Name

Address *

Apartment/Unit #

City *

Province *

Postal Code *

Primary Phone *

Alternate Phone

Your Email *

Birth Date (MM/DD/YY) *

Military Service

Branch *

From *

To *

Current Status *

Military Occupation *

Highest Rank Obtained *

Operational Deployments

References

Ideally, references should include your current or former COs and RSMs, if applicable.

Full Name *

Relationship *

Company

Phone *

Email *

Full Name *

Relationship *

Company

Phone *

Email *

Personal Experience

Please write a short composition in response to the following topics. Your answer must be under 1000 words and reference all five questions:

Your background (hometown, upbringing, family, school, and why you joined the military).
Military career and circumstances surrounding your injury.
Provide an example of how you have overcome a significant challenge in your life.
What are your new goals as you transition out of the military, or settle into civilian life?
Outline the outcomes you hope to achieve by participating on the expedition. What do you hope to gain from this experience? How do you feel about participating in a mentorship program?

Type and save your answer in a different program such as Microsoft Word, then copy and paste it into this form to ensure your information is not lost.

Disclaimer and Signature

If I am accepted as a participant, I understand that I will need approval by a medical doctor to participate, and my safety and security is of the utmost importance for all involved.
If I am accepted as a participant, I understand that I will adhere to a training plan to prepare for the expedition, to the best of my ability.
If I am accepted as a participant, I understand that I will attempt to fundraise for TPL, to the best of my ability, utilizing the support and tools TPL will provide.
If I am accepted as a participant, I understand that any false statements, omissions, or other misrepresentations made by me on this application or throughout the process may result in the termination of my participation in the True Patriot Love Expedition: ORIZABA

Name (printed)

Date

Please submit your application before June 8, 2018.

I certify that my answers are true and complete to the best of my knowledge.

True Patriot Love Expedition: Orizaba 2019 - Application for Participation